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Individual

DR. ANITA PRAKASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
811 ALTOS OAKS DR, SUITE 2, LOS ALTOS, CA 94024-5426
(650) 823-0222
(650) 917-6925
Mailing address
811 ALTOS OAKS DR, SUITE 2, LOS ALTOS, CA 94024-5426
(650) 823-0222
(650) 917-6925

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A84854
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0098530
CA
Enumeration date
07/30/2006
Last updated
03/16/2017
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